Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2021031355 | MO |
N | 111NN0400X | Neurology | 2021031355 | MO |
N | 111NP0017X | Pediatric Chiropractor | 2021031355 | MO |
N | 111NR0200X | Radiology | 2021031355 | MO |
N | 213ER0200X | Radiology | 2021031355 | MO |
NPI | 1194483420 |
---|---|
Provider Name | Dr. Annette Elizabeth Hurd |
First Address | Blue Springs, MO 64015-1610 |
Second Address | Blue Springs, MO 64015-1610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2021 |
Last Update Date | 21/12/2021 |